Facility Evaluation Report

On February 29, 2024, Licensing Program Analysts (LPA) Murial Han conducted an unannounced annual visit. LPA was greeted by staff member, Arrion Patterson and administrator, Nicole Strain. LPA explained the purpose of the visit.

This facility is licensed to retain and serve 6 ambulatory residents who are 18 to 59 only. Current census was 6. A brief interview with Facility Designated Administrator was conducted.

LPA reviewed 3 resident files and all of them contained admission agreement, medical assessment- LIC 602 (Physician Order), Appraisal Needs and Service Plan, and Resident Identification information, etc.

LPA reviewed 3 staff files and based on observation, Staff #1 (S1) and Staff #2 (S2) did not have staff training records, documentation for TB and Health Screening and Staff #3 (S3) did not have a file ready to review at this time.

A tour of the facility was conducted. Washer and dryer were identified. It was observed the chemicals underneath the sink was unlocked and accessible to residents in care. Two additional locked cabinets were identified which held resident files, medication, and cleaning supplies.

A tour of the back yard was conducted. Perimeter fence and gate were in good repair with no hazards present.

Medications are locked in the medication and inaccessible to residents in care. A comfortable temperature is maintained and lighting is sufficient for comfort.

2 days of perishables and 7 days of nonperishable foods were observed for the residents.

A tour of the downstairs storage was conducted. It was observed that additional food supply was housed in this area.